Endometriosis Mimicking a Cecum Mass with Complete Bowel Obstruction: An Infrequent Cause of Acute Abdomen

Endometriosis is a common entity among fertile women which unfortunately manifests through variable symptomatology. Intestinal involvement in endometriosis is quite common and can simulate several diseases such as Crohn’s disease, appendicitis, tubo-ovarian abscess, or malignant tumors. Intestinal obstruction due to endometriosis is rare, and preoperative diagnosis is difficult because the signs and symptoms are nonspecific and can be easily confused. In the case of patients without a history of endometriosis, diagnosis is further complicated. We present a case of a 41-year-old female patient. She presented to the emergency room with complete bowel obstruction and a mass in the cecum. Surgery was decided, and the patient underwent full recovery. Endometriosis was the final diagnosis for the observed condition.

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A case of fatal disseminated strongyloidiasis accompanied with intestinal obstruction

Oxford Medical Case Reports ◽

10.1093/omcr/omz087 ◽

2019 ◽

Vol 2019 (10) ◽

Author(s):

Peyman Heydarian ◽

Iraj Mobedi ◽

Mohamad Ali Mohaghegh ◽

Abozar Hosseini ◽

Fatemeh Goudarzvand Chegini ◽

...

Keyword(s):

Intestinal Obstruction ◽

Signs And Symptoms ◽

Strongyloides Stercoralis ◽

Final Diagnosis ◽

High Humidity ◽

Important Message ◽

Disseminated Strongyloidiasis ◽

Endemic Areas

Abstract Strongyloides stercoralis is an endemic parasite in some regions including the tropical and subtropical areas with high humidity. Most infections are asymptomatic with nonspecific signs and symptoms, making the final diagnosis complicated. Here, we report a patient referred to our hospital with signs consistent with sepsis, intestine obstruction, which finally died with the diagnosis of strongyloidiasis. The patient was from northern parts of Iran which are considered as endemic areas for S. stercoralis. In conclusion, there is an important message in this history, i.e. physicians should be aware of specific and non-specific signs of strongyloidiasis especially in people living in endemic areas to make an accurate final diagnosis by proper clinical and paraclinical examinations.

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Anomalous Vascular Peritoneal Band Causing Small Bowel Obstruction in an Adult

Annals of African Surgery ◽

10.4314/aas.v17i2.10 ◽

2020 ◽

Vol 17 (2) ◽

pp. 85-87

Author(s):

Suzanne Nyakirugumi ◽

Mathenge Nduhiu

Keyword(s):

Small Bowel ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Mesenteric Artery ◽

Signs And Symptoms ◽

Sub Saharan Africa ◽

Definitive Treatment ◽

Anomalous Artery ◽

History Of ◽

Sub Saharan

Peritoneal bands resulting in small bowel obstruction in adults are rare. We present a case study of a 39-year-old male who presented with a 10-day history of signs and symptoms of intestinal obstruction. The patient had no history of abdominal trauma or surgery. Intraoperatively, the small bowel obstruction was caused by a vascularized peritoneal band that had a membrane. The band formed a closed loop and caused the small bowel to herniate and lead to mechanical obstruction. In the band was an anomalous artery that connected the ileocolic artery to the descending branch of the left colic artery. The mainstay for diagnosis is an exploratory laparoscopy or laparotomy. The definitive treatment is transection of the band. This is the first reported case in Sub-Saharan Africa. Keywords: Small bowel obstruction, Congenital bands, Peritoneal bands, Vascular bands, Inferior mesenteric artery, Superior mesenteric artery

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Study of clinical spectrum and management of acute intestinal obstruction

International Surgery Journal ◽

10.18203/2349-2902.isj20181060 ◽

2018 ◽

Vol 5 (4) ◽

pp. 1310

Author(s):

N. K. Jaiswal ◽

Sandeep Shekhar ◽

Pushkar Ranade

Keyword(s):

Abdominal Pain ◽

Small Bowel ◽

Intestinal Obstruction ◽

Bowel Obstruction ◽

Large Bowel ◽

Signs And Symptoms ◽

Large Bowel Obstruction ◽

Acute Intestinal Obstruction ◽

Medical College ◽

Tertiary Centre

Background: Acute intestinal obstruction is one of the major surgical emergencies. Intestinal obstruction is defined as partial or complete interference with forward flow of small or large intestinal contents. Intestinal obstruction of either small or large bowel continues to be a major cause of morbidity and mortality. Study aims to find the aetiology, diagnosis and management of acute intestinal obstruction.Methods: A total of 135 patients of acute intestinal obstruction was studied from November 2013 to October 2015 in government medical college, Nagpur. Study was done in patients in OPD of this tertiary centre. Inclusion criteria being patients coming to the hospital with features suggestive and further confirmed of acute intestinal obstruction. Patients included were in, age group of 18 years to 80 years giving written informed consent. Patient of pseudo obstruction were excluded from the study.Results: A total of 135 patients, presented with acute intestinal obstruction during the period of the study. Mean patient age was 45.87 years with peak incidence in those aged 21-30years. The foremost signs and symptoms were constipation (85.93%) and abdominal pain (91.11%). Adhesions and bands (61.9%) was the leading causes of intestinal obstruction.Conclusions: Present study concluded that small bowel obstruction is more common than large bowel obstruction. Abdominal pain, constipation and distension are the most common symptoms, while increased bowel sounds, tachycardia and tenderness is most common sign. Post-operative adhesion in small bowel and malignancy in large bowel is major cause of acute intestinal obstruction.

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Bowel obstruction due to the tightening of a loose bowel adhesion with uterus enlargement during pregnancy

Journal of Clinical and Investigative Surgery ◽

10.25083/2559.5555/5.2/109.112 ◽

2020 ◽

Vol 5 (2) ◽

pp. 109-112

Author(s):

Ghazi Laamiri ◽

◽

Montassar Ghalleb ◽

Nouha Ben Ammar ◽

Slim Zribi ◽

...

Keyword(s):

Abdominal Pain ◽

Case Report ◽

Intestinal Obstruction ◽

Bowel Obstruction ◽

Acute Intestinal Obstruction ◽

Fetal Mortality ◽

Past Medical History ◽

Etiological Diagnosis ◽

Postoperative Course ◽

History Of

Introduction. Acute intestinal obstruction during pregnancy is a rare digestive surgical emergency. Generally, it is associated with significant maternal and fetal mortality. The diagnosis is difficult, often delaying the therapeutic management. It is reported an exceptional association of acute intestinal obstruction due to a band adhesion that is put into tension as the uterus enlarges. Case Report. A 35 years old Caucasian pregnant woman with a past medical history of appendectomy was examined and found with abdominal pain, severe vomiting, and bowel obstruction. The patient underwent surgery. Per operatively, the obstruction was caused by an adhesion put into tension by the enlargement of the uterus. The postoperative course was uneventful and the patient was discharged on day 2. Conclusions. The etiological diagnosis of acute intestinal obstruction during pregnancy is difficult. Surgery is the cornerstone of the treatment and the management varies depending on the intraoperative findings and the condition of the patient.

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COLORECTAL CANCER COMPLICATED BY OBSTRUCTION: INTESTINAL STOMA OR PRIMARY ANASTOMOSIS?

Problems in oncology ◽

10.37469/0507-3758-2017-63-1-7-13 ◽

2017 ◽

Vol 63 (1) ◽

pp. 7-13

Author(s):

Foat Akhmetzyanov ◽

Vasiliy Yegorov

Keyword(s):

Colorectal Cancer ◽

Intestinal Obstruction ◽

Bowel Obstruction ◽

Malignant Tumors ◽

Primary Anastomosis ◽

Direct Impact ◽

Colonic Anastomoses ◽

Colon Wall ◽

Advanced Stages ◽

Intestinal Stoma

Colorectal cancer (CRC) is one of the most common malignant tumors with increase in morbidity. Since this disease is often diagnosed in advanced stages more than 60% of cases have complications, the most common of them is obstruction. The presence of intestinal obstruction has a direct impact on the type and scope of surgery and almost always ends with the formation of intestinal stoma. Because of significant shortcomings of intestinal stomas for a patient, in the presence of obstruction some surgeons have resorted to the formation of primary colonic anastomoses. The key in this case is the state of the colon wall and adequate its purification from faeces and gases by means of various techniques of intraoperative colonirrigation. This work is devoted to the analysis of literature on intestinal obstruction of tumor genesis. However it does not relate to issues with decompensated bowel obstruction when the formation of intestinal stoma is not in doubt.

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Abdominal cocoon: preoperative diagnosis on CT

BMJ Case Reports ◽

10.1136/bcr-2019-229983 ◽

2019 ◽

Vol 12 (5) ◽

pp. e229983

Author(s):

Sudipta Mohakud ◽

Aparna Juneja ◽

Hira Lal

Keyword(s):

Small Bowel ◽

Intestinal Obstruction ◽

Ct Scan ◽

Preoperative Diagnosis ◽

Abdominal Cocoon ◽

Pulsatile Mass ◽

Contrast Enhanced Ct ◽

History Of ◽

Subacute Intestinal Obstruction ◽

Encapsulating Peritonitis

A 23-year-old man presented to the emergency department with a history of recurrent episodes of subacute intestinal obstruction. Palpation revealed a firm, non-tender, mobile, non-pulsatile mass of size 8–10 cm with indistinct margins and smooth surface in the hypogastrium. Contrast-enhanced CT scan of the abdomen showed clumping of the small bowel loops within a well-defined membrane-like structure without dilatation or thickening of bowel loops. The patient underwent a laparotomy with incision of the membrane and separation of all the small bowel loops inside the cocoon. Abdominal cocoon is the idiopathic variety of sclerosing encapsulating peritonitis and is an unusual cause of acute or subacute intestinal obstruction. Clinical diagnosis is difficult because of non-specific symptoms. CT has facilitated accurate preoperative diagnosis, long before the patient presents with full-fledged symptoms of acute intestinal obstruction. CT scan plays a significant role in excluding the secondary causes and helps in patient management.

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Intestinal Obstruction Caused by Persimmon Bezoar: A Case Report

International Surgery ◽

10.9738/intsurg-d-14-00269.1 ◽

2015 ◽

Vol 100 (7-8) ◽

pp. 1194-1198 ◽

Cited By ~ 2

Author(s):

Naotake Funamizu ◽

Tomotaka Kumamoto ◽

Atsushi Watanabe ◽

Tomoyoshi Okamoto ◽

Katsuhiko Yanaga

Keyword(s):

Small Bowel ◽

Intestinal Obstruction ◽

Small Bowel Obstruction ◽

Bowel Obstruction ◽

Abdominal Distension ◽

Dietary History ◽

Japanese Female ◽

Old Japanese ◽

History Of ◽

Patient’S History

Owing to their rare occurrence, persimmon bezoars are often overlooked as a cause of small bowel obstruction. We herein report a small bowel obstruction in a 67-year-old Japanese female who regularly consumed persimmons in autumn. The patient presented to our hospital with typical complaints of abdominal distension with pain for 2 days. Based on the patient's history of a cesarean section 34 years ago, we initially diagnosed her with small bowel obstruction resulting from adhesions and placed an ileus tube. At first, the patient rejected the operation in spite of our recommendation. After 10 days, because the ileus tube was unable to relieve the obstruction, finally surgery was scheduled. Upon releasing the obstruction by partial resection of the small bowel, we found an impacted bezoar without any evidence of adhesions. After stone analysis, we first realized her regular persimmon intake. This case serves as an important reminder to obtain dietary history in order to investigate all possible causes of small bowel obstruction when intestinal obstruction is suspected.

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Uncommon Metastasis of Laryngeal Cancer to Small Bowel Causing Intestinal Obstruction Treated by Laparoscopic Approach

Case Reports in Surgery ◽

10.1155/2014/260631 ◽

2014 ◽

Vol 2014 ◽

pp. 1-5

Author(s):

Omar Bekdache ◽

Lateefa Al Nuaimi ◽

Haytham El Salhat ◽

Vasudev Sharma ◽

Ghodratollah Nowrasteh ◽

...

Keyword(s):

Small Bowel ◽

Natural History ◽

Intestinal Obstruction ◽

Small Bowel Obstruction ◽

Laryngeal Cancer ◽

Bowel Obstruction ◽

Laparoscopic Approach ◽

Rare Presentation ◽

History Of ◽

Laparoscopic Assisted

Metastatic laryngeal cancer to the small bowel is extremely rare. Management of small bowel obstruction used to constitute a relative contraindication for the use of laparoscopic modality. We are reporting a case of an elderly man known to have laryngeal cancer who presented with small bowel obstruction due to metastatic deposit to the small bowel. The condition was successfully treated by laparoscopic assisted approach. A review of the natural history of advanced laryngeal cancer, common and uncommon sites of metastasis, and the rare presentation as small bowel obstruction is illustrated in this review.

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Inflammatory Pseudotumor of an Orbito-Maxillary Mass Masquerading as a Malignancy

Philippine Journal of Otolaryngology Head and Neck Surgery ◽

10.32412/pjohns.v21i1-2.829 ◽

2019 ◽

Vol 21 (1-2) ◽

pp. 1

Author(s):

Maria Cristina C. Da Silva ◽

Joel A. Romualdez ◽

Norberto A. Martinez

Keyword(s):

Inflammatory Pseudotumor ◽

Malignant Tumors ◽

Tertiary Care ◽

Clinical Signs ◽

Signs And Symptoms ◽

Care Hospital ◽

Radiologic Findings ◽

Metro Manila ◽

History Of ◽

Clinical Signs And Symptoms

Objective: To present a case of a benign orbito-maxillary tumor behaving as an invasive, expansive malignancy. Design: Case report Setting: A tertiary care hospital in Metro Manila Patient: A 4-year-old boy with a seven month history of right orbito-maxillary mass, proptosis and epiphora. Result: A series of biopsies were done before a definite diagnosis was made due to inconsistencies in the histopathologic findings, clinical picture, and the radiologic presentation of the case. After diagnosis, appropriate intervention resulted in a dramatic decrease in the size of the mass. At present, the patient is disease-free and asymptomatic. Conclusion: Histopathologic diagnosis of Inflammatory Pseudotumor is difficult and differentiating it from malignant tumors is often a concern for otolaryngologists and pathologists. In spite of an initial malignant biopsy result, the combination of clinical signs and symptoms and radiologic findings of an infiltrative mass lesion, should not discount the possibility of a benign entity such as Inflammatory Pseudotumor for which treatment is conservative. Keywords: Orbito-Maxillary Mass, Inflammatory Pseudotumor, Pseudotumor, Orbital Pseudotumor

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Congenital Tuberculosis in a Neonate: A Diagnostic Dilemma

Journal of Neonatal Surgery ◽

10.47338/jns.v3.139 ◽

2014 ◽

Vol 3 (4) ◽

Author(s):

P Raj ◽

YK Sarin

Keyword(s):

Intestinal Obstruction ◽

Pregnant Women ◽

Signs And Symptoms ◽

Abdominal Tuberculosis ◽

Diagnostic Dilemma ◽

Maternal History ◽

Congenital Tuberculosis ◽

History Of ◽

Rare Diagnosis

Though tuberculosis (TB) among pregnant women is not unusual in our country, documented cases of congenital tuberculosis are rare. Diagnosis is often difficult as signs and symptoms in a neonate are non- specific. Maternal history of tuberculosis is often missed, as many of them are asymptomatic. Here we present a neonate who was operated in view of intestinal obstruction which intra operatively showed disseminated abdominal tuberculosis with infected ascites.

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